ABSTRACT
Visceral artery aneurysms represent a very rare condition. The affected patients usually present as emergency secondary to the sudden rupture of the aneurysm or as an incidental finding on imaging. In this setting, gastric and gastroepiploic aneurysms account for only about 4% of all the splancnic aneurysms. Since ruptured visceral aneurysms present a high mortality, a prompt and adequate (surgical or radiological interventional) treatment is mandatory. Due to the difficulty in achieving an adequate transcatheter access in some cases the emergency laparotomy may represent the only chance for the recover of the affected patients. We report two cases of ruptured left gastroepiploic aneurysms occurred in two young male patients, treated respectively with emergency laparotomy and laparoscopy.
Subject(s)
Aneurysm, Ruptured/complications , Gastroepiploic Artery/injuries , Hemorrhage/etiology , Rare Diseases/complications , Adult , Aneurysm, Ruptured/surgery , Emergencies , Hemorrhage/surgery , Humans , Laparoscopy , Laparotomy , Male , Rare Diseases/surgery , Retroperitoneal Space , Rupture, Spontaneous/etiology , Rupture, Spontaneous/surgery , Young AdultABSTRACT
Encapsulating peritoneal sclerosis (EPS) is a rare clinical syndrome characterized by an acquired, inflammatory fibrocollagenous membrane encasing the small intestine, resulting in symptoms of bowel obstruction. It is still unclear whether early surgical intervention has an advantage over conservative management, but, in most reviewed case reports, it is preferred to preserve the surgical management in patients not responding to conservative measures, or when bowel ischaemia is occurring. We report a case of a 58-year old patients, affected by chronic renal failure, on treatment with peritoneal dialysis, in which a late diagnosis of encapsulating peritoneal sclerosis was made, and where surgical intervention was not sufficient to guarantee survival due to the late diagnosis.
Subject(s)
Peritoneal Fibrosis , Conservative Treatment , Delayed Diagnosis , Fatal Outcome , Humans , Kidney Failure, Chronic/etiology , Kidney Failure, Chronic/therapy , Laparotomy , Male , Middle Aged , Peritoneal Dialysis , Peritoneal Fibrosis/diagnostic imaging , Peritoneal Fibrosis/pathology , Peritoneal Fibrosis/therapy , Polycystic Kidney Diseases/complications , Tomography, X-Ray ComputedABSTRACT
In the most European countries radio coverage for the third radio mobile generation. i.e, the UMTS (Universal Mobile Telecommunications System), will soon be started. In the past few years, national laws specifying limits on exposure to electromagnetic fields have drawn much attention on electromagnetic test bed and measurement procedures for radio mobile equipment/systems. An overview is given of the UMTS system, showing the main characteristics of the radio access network UTRAN (UMTS Terrestrial Radio Access Network). An analysis is also provided as to the measurement techniques and related instrumentation for the electric field intensity radiated by a UMTS radio station.
